Knowledge and Clinical Judgment-
Advanced Questions with correct
Answers
A nurse is caring for a patient who has terminal pancreatic cancer. The patient is
competent and has requested no resuscitative measures be taken in the event of
respiratory or cardiac arrest. Which of the following is necessary to legally change the
patients code status to do-not-resuscitate (DNR)? - ANSWER A written Script from
provider
A nurse is caring for a toddler who has acute otisis media and is prescribed benzocaine
(Americaine) ear drops for pain relief. Which of the following actions by the nurse is
appropriate when administering the ear drops? - ANSWER warm refrigerated drops to
room temp prior to installation
A nurse is caring for a patient who has a new colostomy. The patient is being
discharged and plans to live with her daughter. Which of the following responses by the
nurse is appropriate when the daughter states that she doesn't know how she is going
to care for her mother's colostomy? - ANSWER "What part of your mother's care
concerns you?"
A nurse is caring for a patient who is diagnosed with bipolar and is taking lithium
(Lithane). Which of the following lithium serum levels indicates the the patient dosage is
appropriate for maintenance therapy? - ANSWER 0.75mEq/L
A nurse is caring for a patient who is scheduled for a lumbar puncture. The nurse
should teach the patient that which of the following is a post- procedure complication?
: - ANSWER headache
A nurse is reinforcing teaching about a new prescription for cromolyn sodium (Intal)
metered dose inhaler (MDI) to a school aged child who has asthma. Which of the
following statements should indicate to the nurse that the child needs further teaching? -
ANSWER "I will use my cromolyn inhaler before using my albuterol inhaler."
A nurse is planning to obtain blood pressure of four patients. On which of the following
patients should the nurse perform an electronic blood pressure measurement? -
ANSWER A patient who is recovering from a cardiac catheterization
A nurse is caring for a patient who weights 132 lbs and has been prescribed gentamicin
(Garamycin) 5 mg/kg/day by IV bolus in 3 equal doses. Available on hand is 40 mg/mL
